Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICOLE WAKUS
Active Sole ProprietorNICOLE WAKUS is a Community/Behavioral Health healthcare provider located in LOS ANGELES, California. NPI 1598884264 is currently active in the NPPES registry. Verify at CMS.
Community/Behavioral Health · LOS ANGELES, CA
Registration Details
- NPI Number
- 1598884264
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 27, 2007 (19.200379087985 yrs)
- Last Updated
- Jul 8, 2007
- License
-
IMF 49469 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
711 S NEW HAMPSHIRE AVELOS ANGELES, CA, 900051831Browse CA providers · Browse ZIP 90005
- Phone
- 2133855100
- Primary Specialty
-
Community/Behavioral Health
251S00000X
Other Community/Behavioral Health Providers in LOS ANGELES, CA
| Name | Credential | NPI |
|---|---|---|
| MS. MONICA R GUTHRIE | — | 1750550752 |
| ROBERTA L ROBNETT | — | 1912163296 |
| NAZILA FARZANKASHANI | — | 1063712982 |
| JENNIFER SARAH ZIDOW | — | 1740534858 |
| MICHAEL JOHNSON | — | 1831598044 |
| MOSSIE HOLLEY | THERAPIST | 1396146809 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.